Figure 1518

Urethral disruption. When left untreated, urethritis usually progresses to urethral disruption. Retrograde urethrography in a recipient of a simultaneous pancreas-kidney transplant with bladder drainage demonstrates perforation of the membranous urethra with extensive extravasation of contrast. Immediate treatment is placement of a suprapubic cystostomy or, if possible, a Foley catheter. Enteric conversion follows, which is 100% successful. Sequelae of this process include stricture and bladder outlet obstruction.

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